This document discusses key factors for the adoption of electronic health records (EHR) by patients, including needs, benefits, risks, elements of trust, and the approach required. For adoption to be effective, a bottom-up approach is needed that considers patients' needs, the benefits of improved care and outcomes, risks to privacy and safety, and building trust through design, credibility, security, privacy and ease of use of the EHR system.

1. Needs
•Complexity
•Chronicity
•Severity
•Urgency
Benefits
•Improved experience
•Improved safety
•Improved clinical outcomes
Risks
•Increased clinical risk
•Privacy breach
Trust
•Design
•Credibility of information
•Security
•Privacy
•Ease of use
EHR
Adoption
Bottom up approach required for the
adoption of an effective EHR by patients